Healthcare Provider Details

I. General information

NPI: 1043276306
Provider Name (Legal Business Name): MILENA PAVLOVA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2006
Last Update Date: 05/14/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 FRANCIS STREET BRIGHAM AND WOMENS HOSPITAL DEPT OF NEUROLOGY
BOSTON MA
02115
US

IV. Provider business mailing address

111 CYPRESS ST BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION
BROOKLINE MA
02445
US

V. Phone/Fax

Practice location:
  • Phone: 617-278-0914
  • Fax:
Mailing address:
  • Phone: 857-307-0896
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number213330
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number213330
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code2084E0001X
TaxonomyEpilepsy Physician
License Number213330
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: